HomeMy WebLinkAboutSub agreement, electric PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
` Building & Code Compliance Division
o
-- - - - — --- BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
Patrick's Electric Company have agreed to be
(Company Name/Individual Name)
the electrical Sub-contractor for Noreen Rayner
(Type of Trade) (Primary Contractor)
For the project located at 13509 NW Wax Myrtle Trl Palm City,FL 34990
(Project Street Address or Property Tax ID#)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project,the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
jfiling of a Change of Sub-contractor notice.
4xseldvulll P Y4v—
CONTRACTOR SIGN URE(Qu lifier) SUB-CO RACTOR IGNATURE(Qualifier)
Noreen Rayner Patrick Hosey
PRINT NAME PRINT NAME
CRC1332755 EC3003435
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of lelbc State of Florida,County of V6C
The foregoing instrument was signed before me this r O day of The foregoing instrument was signed before me this '� day of
13 Ck ,20'lil.by W V A-N Y—�I"-Ir OGf ,20Z0,by \ :k l
who is personally known Y or has produced a who is personally kndi%n '4/or has produced a
aside �ti as identific
;:�z
STAMP STAMP
Signat re of Not y Pub Signature Notary Pu lic 1 -
Print Name of Notary Public Print Name of Notary Public
\1\II111111///
P�NA K.
�) '.� �J g
V p1 20?y�{o
NOTARY N: _ _ :z NOTARY 9m:
Revised 11/16/2016 PUBLIC wry,. ;O PUBLIC B N,
O qr